NPI

Wal-Mart Stores East LP

Doing business as Walmart Pharmacy 10-0022. Phone (918) 825-3663 · NPI 1851318968

Read from the NPPES registry on October 26, 2026.

Walmart Pharmacy 10-0022 pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.

Facts

Status
Active
Type
Organization
Enumeration date
2006-07-16
Last updated
2023-11-06

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Specialties

Licenses

License OK
304971

Location

Practice location
4901 S Mill St
City
Pryor OK
Postal code
74361-6837
Phone
(918) 825-3663

Organization contact

Name
Matthew McMullin
Title
Director, Contracting
Phone
(479) 371-8711

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Pharmacy, Community/Retail Pharmacy providers in Pryor, OK. 5 with this primary taxonomy in the public file.

Other NPIs in Pryor, OK. 606 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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